<!DOCTYPE html>
<html lang="zh" xmlns:th="http://www.thymeleaf.org" >
<head>
    <th:block th:include="include :: header('新增标段')" />
</head>
<body>
<div class="main-content">
    <form id="form-user-add" class="form-horizontal">
        <div class="row">
            <div class="col-sm-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label">标段：</label>
                    <div class="col-sm-8">
                        <input name="xmNameLot" id="xmNameLot" class="form-control" type="text">
                    </div>
                </div>
            </div>
            <div class="col-sm-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label">企业名称：</label>
                    <div class="col-sm-8">
                        <input name="name" id="name" class="form-control" type="text">
                    </div>
                </div>
            </div>
        </div>
        <div class="row">
            <div class="col-xs-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label">省：</label>
                    <div class="col-sm-8">
                        <input name="sheng" id="sheng" class="form-control" type="text">
                    </div>
                </div>
            </div>
            <div class="col-xs-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label">市：</label>
                    <div class="col-sm-8">
                        <input name="shi" id="shi" class="form-control" type="text">
                    </div>
                </div>
            </div>
        </div>
        <div class="row">
            <div class="col-xs-12">
                <div class="form-group">
                    <label class="col-sm-2 control-label">企业所在地：</label>
                    <div class="col-sm-10">
                        <input name="address" id="address"  class="form-control" type="text">
                    </div>
                </div>
            </div>
        </div>
        <div class="row">
            <div class="col-xs-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label">开票名称：</label>
                    <div class="col-sm-8">
                        <input name="kpName" id="kpName"  class="form-control" type="text">
                    </div>
                </div>
            </div>
            <div class="col-xs-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label">税号：</label>
                    <div class="col-sm-8">
                        <input name="kpNum" id="kpNum" class="form-control" type="text">
                    </div>
                </div>
            </div>
        </div>
        <div class="row">
            <div class="col-xs-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label">开票电话：</label>
                    <div class="col-sm-8">
                        <input name="kpPhone" id="kpPhone"  class="form-control" type="text">
                    </div>
                </div>
            </div>
            <div class="col-xs-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label">开票地址：</label>
                    <div class="col-sm-8">
                        <input name="kpAddress" id="kpAddress" class="form-control" type="text">
                    </div>
                </div>
            </div>
        </div>
        <div class="row">
            <div class="col-xs-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label">开票开户行：</label>
                    <div class="col-sm-8">
                        <input name="kpBank" id="kpBank" class="form-control" type="text">
                    </div>
                </div>
            </div>
            <div class="col-xs-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label">开户账号：</label>
                    <div class="col-sm-8">
                        <input name="kpBankNum" id="kpBankNum" class="form-control" type="text">
                    </div>
                </div>
            </div>
        </div>
        <div class="row">
            <div class="col-xs-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label">是否包邮 1 是 2 否：</label>
                    <div class="col-sm-8">
                        <input name="freeMail" id="freeMail"  class="form-control" type="text">
                    </div>
                </div>
            </div>
            <div class="col-xs-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label">邮寄地址：</label>
                    <div class="col-sm-8">
                        <input name="mailAdress" id="mailAdress" class="form-control" type="text">
                    </div>
                </div>
            </div>

        </div>
        <div class="row">
            <div class="col-xs-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label">营业执照上传地址：</label>
                    <div class="col-sm-8">
                        <input name="yyzzUrl"  id="yyzzUrl"  class="form-control" type="text">
                    </div>
                </div>
            </div>
        </div>

        <div class="row">
            <div class="col-xs-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label">出函机构及对接人：</label>
                    <div class="col-sm-8">
                        <input name="bhJigou" id="bhJigou" class="form-control" type="text">
                    </div>
                </div>
            </div>
            <div class="col-xs-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label">保函金额：</label>
                    <div class="col-sm-8">
                        <input name="bhMoney" id="bhMoney" class="form-control" type="text">
                    </div>
                </div>
            </div>
        </div>
        <div class="row">
            <div class="col-xs-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label">保函有效期：</label>
                    <div class="col-sm-8">
                        <input name="bhValidity" id="bhValidity" class="form-control" type="text">
                    </div>
                </div>
            </div>
            <div class="col-xs-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label">保函格式：</label>
                    <div class="col-sm-8">
                        <input name="bhFormat" id="bhFormat" class="form-control" type="text">
                    </div>
                </div>
            </div>
        </div>
        <div class="row">
            <div class="col-xs-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label">特殊要求备注：</label>
                    <div class="col-sm-8">
                        <input name="bhNotes" id="bhNotes" class="form-control" type="text">
                    </div>
                </div>
            </div>
        </div>
        <div class="row">
            <div class="col-xs-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label">收费：</label>
                    <div class="col-sm-8">
                        <input name="fkMoney" id="fkMoney" class="form-control" type="text">
                    </div>
                </div>
            </div>
            <div class="col-xs-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label">付款凭证Url：</label>
                    <div class="col-sm-8">
                        <input name="fkUrl" id="fkUrl" class="form-control" type="text">
                    </div>
                </div>
            </div>
        </div>
        <div class="row">
            <div class="col-xs-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label">合作方费用：</label>
                    <div class="col-sm-8">
                        <input name="fkHzMoney" id="fkHzMoney" class="form-control" type="text">
                    </div>
                </div>
            </div>
            <div class="col-xs-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label">合作方付款Url：</label>
                    <div class="col-sm-8">
                        <input name="fkHzUrl" id="fkHzUrl" class="form-control" type="text">
                    </div>
                </div>
            </div>
        </div>
        <div class="row">
            <div class="col-xs-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label">公司收益：</label>
                    <div class="col-sm-8">
                        <input name="fkShouyi" id="fkShouyi" class="form-control" type="text">
                    </div>
                </div>
            </div>
            <div class="col-xs-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label">返润扣税：</label>
                    <div class="col-sm-8">
                        <input name="fkFanrun" id="fkFanrun" class="form-control" type="text">
                    </div>
                </div>
            </div>
        </div>
        <div class="row">
            <div class="col-xs-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label">业绩：</label>
                    <div class="col-sm-8">
                        <input name="yeji"  id="yeji"  class="form-control" type="text">
                    </div>
                </div>
            </div>
            <div class="col-xs-6">
                <div class="form-group">
                    <label class="col-sm-4 control-label">备注：</label>
                    <div class="col-sm-8">
                        <input name="remark"  id="remark" class="form-control" type="text">
                    </div>
                </div>
            </div>
        </div>
    </form>
</div>
<th:block th:include="include :: footer" />
<script type="text/javascript">
    // function submitHandler() {
    //     if ($.validate.form()) {
    //         $.modal.msgSuccess('保存成功！');
    //         $.modal.close();
    //     }
    // }

</script>
</body>
</html>
